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SAMANTHA M. LEBOUEF LLC
NPI 1003323585
Chiropractor in Wylie, TX

Active since January 05, 2018
102 S JACKSON AVE # A, WYLIE, TX 75098(214) 284-1293 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha M. Lebouef Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA M. LEBOUEF LLC (NPI 1003323585) is a healthcare organization registered as a chiropractor in Wylie, Texas and active in the NPI registry since January 2018. The organization lists Samantha Lebouef, Owner, as its authorized official.

NPPES Registry Identity

NPI1003323585
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSAMANTHA M. LEBOUEF LLC
Location Address102 S JACKSON AVE # AWylie, TX 75098-3938
Mailing Address3514 Ridgestone DrGarland, TX 75040-3596
Phone(214) 284-1293
Organization SubpartNo
Authorized OfficialSamantha LebouefOwner · (214) 284-1293
Enumeration DateJanuary 5, 2018
Last NPPES UpdateFebruary 9, 2022
NPPES CertifiedFebruary 9, 2022
✔ NPI 1003323585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 13636
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
102 S JACKSON AVE # A, Wylie, TX 75098
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha M. Lebouef Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20220221000935Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Samantha M. Lebouef LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Samantha Lebouef
Chiropractic
NPI 1730696212
102 S JACKSON AVE STE A
Wylie, TX 75098
(214) 284-1293
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha M. Lebouef LLC's NPI number?

The NPI number for Samantha M. Lebouef LLC is 1003323585. It was assigned to this organization in the NPPES registry on January 5, 2018.

Where is Samantha M. Lebouef LLC located?

Samantha M. Lebouef LLC is located at 102 S Jackson Ave # A, Wylie, TX 75098. The listed phone number is (214) 284-1293.

What is Samantha M. Lebouef LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Samantha M. Lebouef LLC enrolled in Medicare?

Yes. Samantha M. Lebouef LLC is registered in the Medicare PECOS enrollment system.

When is Samantha M. Lebouef LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Samantha M. Lebouef LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Samantha M. Lebouef LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Samantha M. Lebouef LLC was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.